Individual
DR. ALFRED MONTAGUE LAND IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10928 EAGLE RIVER RD, SUITE 250, EAGLE RIVER, AK 99577-8038
(907) 696-4987
Mailing address
951 E BOGARD RD, SUITE 203, WASILLA, AK 99654-7175
(907) 376-2456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1275
AK
1223G0001X
General Practice Dentistry
D9151
OR
Other
Enumeration date
09/03/2008
Last updated
02/15/2012
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